British anti-communist propaganda and cooperation with the United States, 1945-1951

British anti-communist propaganda and cooperation with theUnited States, 1945-1951.This thesis will argue that from early in the Cold War Britain developed a propaganda apparatus designed to fight the Cold War on an ideological front, and that in the period from 1945 to 1951 the role of propaganda grew from being an adjunct to foreign policy to become an integral part of British Cold War strategy. Britain was the first country to formulate a coordinated response to communist propaganda. In January 1948, the Government launched a new propaganda policy designed to "oppose the inroads of Communism, by taking the offensive against it.' The development of this anti-communist propaganda policy will be the main focus of this thesis. It will also be shown that from the earliest stages in the development of Britain's response to communist propaganda, the degree to which such activities could be coordinated with United States Government was a primary consideration. It will be shown that cooperation and eventually coordination of propaganda activities with the United States Government became a defining feature of Britain's anti- communist propaganda policy. This was particularly the case following the launch of the American "Campaign of Truth 1 in 1950. Faced with a formidable and highly organised communist propaganda machine officials in both Britain and America came to realise the value of a unified response. As both nations developed their own policies for offensive anti-communist propaganda, cooperation became an increasingly important element, as Britain and America sought to "shoot at the same target from different angles. 1 The thesis is comprised of an introduction and conclusion and four chapters covering: the origins of British and American anti- communist propaganda policies, 1945-1947; launching Britain 1 s new propaganda policy, 1948; building a concerted counter-offensive, cooperation with other powers, 1948-1950; "Close and continuous liaison. 1 British and American cooperation, 1950-1951

A more representative chamber: representation and the House of Lords

Since 1997 there has been substantive reform of the House of Lords in an effort to make the chamber ‘more democratic and more representative’. Whilst the Labour government failed to press ahead with any of the proposed plans for further reform following the removal of the bulk of the hereditary peers in 1999, it remained committed to the notion that such reform must make the second chamber ‘more representative’. The coalition government's programme advocates a long-term aspiration for a House wholly or mainly elected on the basis of proportional representation, and a short-term approach based on additional appointments to ensure a balance of the parties. What is clear in all of these proposals for reform is a desire for the House of Lords to become more representative than it is at present. However, what is less clear is what is meant by ‘representative’ – who the House of Lords is supposed to represent, and what form representation will take. Moreover, in proposing to make the chamber more representative, either through appointment or election, little attention has been paid to how the current House of Lords provides representation. This article examines these questions in the context of Pitkin's classic conceptions of representation and peers' attitudes towards their own representative rol

"It's a can of worms": understanding primary care practitioners' behaviours in relation to HPV using the Theoretical Domains Framework

Background: The relationship between infection with high-risk human papillomavirus (HPV) and cervical cancer is transforming cervical cancer prevention. HPV tests and vaccinations have recently become available. In Ireland, as elsewhere, primary care practitioners play a key role in prevention. ATHENS (A Trial of HPV Education and Support) aims to develop a theorybased intervention to support primary care practitioners in their HPV-related practice. This study, the first step in the intervention development process, aimed to: identify HPV-related clinical behaviours that the intervention will target; clarify general practitioners’ (GPs’) and practice nurses’ roles and responsibilities; and determine factors that potentially influence clinical behaviour. A secondary objective was to informally assess the utility of the Theoretical Domains Framework (TDF) in understanding clinical behaviours in an area with an evolving evidence-base. Methods: In-depth semi-structured telephone interviews were conducted with GPs and practice nurses. The topic guide, which contained open questions and HPV-related clinical scenarios, was developed through literature review and clinical experience. Interview transcripts were content-analysed using the TDF as the coding framework. Results: 19 GPs and 14 practice nurses were interviewed. The major HPV-related clinical behaviours were: initiating a discussion about HPV infection with female patients; offering/recommending HPV vaccination to appropriate patients; and answering patients’ questions about HPV testing. While the responsibility for taking smears was considered a female role, both male and female practitioners dealt with HPV-related issues. All 12 theoretical domains arose in relation to HPV infection; the domains judged to be most important were: knowledge, emotion, social influences, beliefs about capabilities and beliefs about consequences. Eleven domains emerged in relation to HPV vaccination, with beliefs about consequences, social influences, knowledge and environmental context and resources judged to be the most important. Nine domains were relevant to HPV testing, with knowledge and beliefs about capabilities judged to be the most important. Conclusions: The findings confirm the need for an intervention to support primary care practitioners around HPV and suggest it should target a range of theoretical domains. The TDF proved valuable in analysing qualitative data collected using a topic guide not specifically designed to capture TDF domains and understanding clinical behaviours in an area with an evolving evidence-base

At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine

The interviews we conducted with GPs suggest that an engagement with HIV medicine enables clinicians to develop strong and long-term relationships with and expertise about the care needs of people living with HIV ‘at the coalface’, while also feeling connected with a broader network of medical practitioners and other professionals concerned with and contributing to the ever-changing world of science: ‘the cutting edge’. The general practice HIV prescriber is being modelled here as the interface between these two worlds, offering a rewarding opportunity for general practitioners to feel intimately connected to both community needs and scientific change

A systematic review showing the lack of diagnostic criteria and tools developed for lower-limb cellulitis

BACKGROUND: Cellulitis can be a difficult diagnosis to make. Furthermore, 31% of patients admitted from the emergency department with suspected lower-limb cellulitis have been misdiagnosed, with incorrect treatment potentially resulting in avoidable hospital admission and the prescription of unnecessary antibiotics. OBJECTIVES: We sought to identify diagnostic criteria or tools that have been developed for lower-limb cellulitis. METHODS: We conducted a systematic review using Ovid MEDLINE and Embase databases in May 2018, with the aim of describing diagnostic criteria and tools developed for lower-limb cellulitis, and we assessed the quality of the studies identified using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. We included all types of study that described diagnostic criteria or tools. RESULTS: Eight observational studies were included. Five studies examined biochemical markers, two studies assessed imaging and one study developed a diagnostic decision model. All eight studies were considered to have a high risk for bias in at least one domain. The quantity and quality of available data was low and results could not be pooled owing to the heterogeneity of the findings. CONCLUSIONS: There is a lack of high-quality publications describing criteria or tools for diagnosing lower-limb cellulitis. Future studies using prospective designs, validated in both primary and secondary care settings, are needed. What's already known about this topic? Diagnosing lower-limb cellulitis on first presentation is challenging. Approximately one in three patients admitted from the emergency department with suspected lower-limb cellulitis do not have cellulitis and are given another diagnosis on discharge. Consequently, this results in potentially avoidable hospital admissions and the prescription of unnecessary antibiotics. There are no diagnostic criteria available for lower-limb cellulitis in the U.K. What does this study add? This systematic review has identified a key research gap in the diagnosis of lower-limb cellulitis. There is a current lack of robustly developed and validated diagnostic criteria or tools for use in clinical practice

Whatever happened to compassionate Conservatism under the Coalition government?

Following David Cameron’s election as leader of the Conservative Party in late 2005, a series of initiatives suggested that he was seeking to reposition the Conservative Party, or perhaps to introduce some new thinking to the Party and to align it with interests and issues that it had not been linked with since at least the start of the Thatcher period. At the time, views among commentators varied about whether this was a genuine attempt to change the Conservative Party, including through a more compassionate approach to some social groups and problems, or whether it was simply designed to ‘detoxify’ the Party and to make it electable once more. However, many observers were unconvinced that the five years of the Coalition government saw significant evidence of the ‘compassionate’ ideas that Cameron and others sought to highlight prior to the 2010 general election. This article explores a number of possible reasons for the apparent disappearance of compassionate Conservatism in relation to social policies under the Coalition government. It suggests that rather than any one explanation, drawing upon a number of interpretations may provide the best understanding of the role and impact of compassionate Conservative ideas from 2010 to 2015

British anti-communist propaganda and cooperation with the United States, 1945-1951

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